Dr. Bilal Mushtaq

As Chief Medical Officer (CMO), HCS Consulting, Dr. Bilal Mushtaq has more than 10 years of experience successfully leading clinical documentation improvement efforts for a diverse range of healthcare organizations. Dr. Mushtaq has also served as a physician advisor and ICD-10 physician champion. As a clinician and administrator, Dr. Mushtaq understands well the importance of clinical validation. As CMO, Dr. Mushtaq will lead all clinical services efforts to help healthcare organizations ensure clinical accuracy, minimize risk, and drive revenue recovery and compliance. Dr. Mushtaq earned a Bachelor of Science in biology from the University of Texas at San Antonio. He received his medical degree from Windsor University School of Medicine and completed his clinical and administrative training at affiliates of John H. Stroger, Jr. Hospital of Cook County, the flagship hospital of the Cook County Health & Hospitals System in Chicago, Illinois. Dr. Mushtaq also has a Master of Business Administration in healthcare management and a post graduate certificate in strategic management from Davenport University. Learn more about Dr. Mushtaq and follow him on LinkedIn.

It’s Time to Revitalize Your CDI Program—The Why and How of BPCI Clinical Documentation Improvement (CDI) programs have experienced significant transformation over the last decade. Under the new MS-DRG (Medicare Severity-Diagnosis Related Group) system—a major driver for many hospitals and health systems to invest in CDI programs—capturing CC/MCCs (complication or comorbidity and major complication or comorbidity) became the focus. Many organizations that have implemented an MS-DRG focused review program have seen success, experiencing benefits in improved provider documentation and true…

Clinical Validation—Bridge the Gap Between Coding and CDI The importance of clinical validation in recent times has increased for obvious reasons. With the implementation of Electronic Medical Records (EMR), hospital and health systems continue to improve the documentation capture process within the medical record. The EMR has its benefits but sometimes there are inconsistencies found due to a chronic problem that exists amongst the provider community—to copy and paste from a previous encounter. Payers have used clinical validation to deny…